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Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

Year

In CAR, MSF’s medical presence finds itself unprecedentedly in the midst of a health desert. MSF intervenes in CAR to provide access to health to populations affected by the conflict in the North. Within this context, 3 MSF sections (MSF-OCBA, OCA, OCP) in CAR since 2006 requested an evaluation of their hospital-based projects. This work involves the comparison of the three projects (hospital + outreach activities) and the analysis of factors in the face of a potential handover to the MoH or other actors present in the area.

The analysis shows a still fragile equilibrium for several components of these projects: HR, Quality Standards expected, possibilities of integration in RCA etc. Before imagining handover scenarios with the MOH and/or others actors, MSF needs to take a longer term view and define carefully the steps.

Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so).

This review was commissioned by the International Office in order to look at the performance and effectiveness of the fund and propose recommendations about its future. The main findings highlight the added value of the fund to MSF and the unbureaucratic nature of the fund management, though it has not reached all of its objectives. While the fund has succeeded to place “innovation” as a central topic within MSF, reporting and dissemination of results remain its weakest parts. Insufficient attention is given to clear communication, guidance and follow up throughout the funding process.

A review of the international positions that directly facilitate and coordinate medical and operational issues was initiated by the International Secretary General in August last year. The review should be seen in relation to the on-going reform of MSF’s international governance and in keeping with its commitment to support operations and facilitate international cooperation across the MSF movement.

Since civil unrest and violence erupted in countries across Northern Africa and the Middle East (referred as NAME in the document) teams from the five MSF OCs (Operational Centres) have been assisting the populations. OCB has mainly been active in Egypt, Bahrain, Libya and Italy (Lampedusa with the influx of migrants from the Northern African regions). Activities and challenges have varied from one context to another. The overall aim of the mapping/compilation is to describe all of OCB’s activities from January to August 2011, in relation to the unrests.

A successful intervention is described in the evaluation report; yet questions raised on the MSF role in Cholera response and how it could go beyond a mainly curative response. In Haiti OCG teams applied innovative approaches for the management of Cholera in pregnant women, for decentralised care in remote rural areas and for the treatment of excreta in treatment facilities. Social mobilisation was the key for rapid intervention and scale up. MSF had an important technical lead role in the nation-wide Cholera response.